A nurse cares for a client newly diagnosed with Graves' disease. ...

[penza]

A nurse cares for a client newly diagnosed with Graves' disease. The client's mother asks, I have diabetes mellitus. Am I responsible for my daughter's disease? How should the nurse respond?
 
  a. The fact that you have diabetes did not cause your daughter to have Graves' disease. No connection is known between Graves' disease and diabetes.
  b. An association has been noted between Graves' disease and diabetes, but the fact that you have diabetes did not cause your daughter to have Graves' disease.
  c. Graves' disease is associated with autoimmune diseases such as rheumatoid arthritis, but not with a disease such as diabetes mellitus.
  d. Unfortunately, Graves' disease is associated with diabetes, and your diabetes could have led to your daughter having Graves' disease.

Question 2

A nurse plans care for a client with hypothyroidism. Which priority problem should the nurse plan to address first for this client?
 
  a. Heat intolerance
  b. Body image problems
  c. Depression and withdrawal
  d. Obesity and water retention

[perkiness]

Answer to Question 1

ANS: B
An association between autoimmune diseases such as rheumatoid arthritis and diabetes mellitus has been noted. The predisposition is probably polygenic, and the mother's diabetes did not cause her daughter's Graves' disease. The other statements are inaccurate.

Answer to Question 2

ANS: C
Hypothyroidism causes many problems in psychosocial functioning. Depression is the most common reason for seeking medical attention. Memory and attention span may be impaired. The client's family may have great difficulty accepting and dealing with these changes. The client is often unmotivated to participate in self-care. Lapses in memory and attention require the nurse to ensure that the client's environment is safe. Heat intolerance is seen in hyperthyroidism. Body image problems and weight issues do not take priority over mental status and safety.

[penza]

Excellent

[mcabuhat]

TYSM